No one can be fat and healthy

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2024-05-11 09:22Posted on the official account of Beijing People

Being overweight is not an aesthetic proposition, but a health problem.

What is the concept of fat? According to the criteria set by the China Obesity Working Group for the Chinese population, an adult BMI between 24.0 kg/m2 and 27.9 kg/m2 is defined as overweight, while a BMI greater than 28.0 kg/m2 is considered obese. There are more than 184 million obese people in China, which is a fairly large group, and many obese patients live "under weight", and many of them are not properly aware of the various health risks that obesity can bring to their bodies.

When a person is overweight or obese, many indicators of the body are prone to red lights - the knee joint is overwhelmed, and walking will feel pain; Too much fat presses on the heart and lungs, and you feel like you can't breathe; snoring in sleep at night, even apnea, and suffocating oneself; Obesity affects all aspects of the human body, including bones, muscles, cardiovascular and cerebrovascular vessels.

Not long ago, we launched a call for submissions on the topic of "overweight and obesity", and received more than 400 responses, all of whom answered sincerely, starting from their own personal experience, they would describe in detail the all-round squeeze caused by overweight and obesity on their bodies, and also share the repetitions and twists and turns on the road to weight loss. Everyone who has lost weight has paid unimaginable hardships.

One of the special aspects of this solicitation is that it is rare to feel a strong "sense of community", everyone seems to share the same situation, and many people's feelings and understandings form a wonderful intertextuality, and their answers are like shouting to themselves and fellow travelers, and there is a strong spirit of sharing and encouragement. After the call was released, we also found a "specific person" and chatted with debater Yan Rujing about her health problems and troubles caused by obesity, and the origin of her determination to lose 100 pounds this year.

Today is the "World Obesity Prevention and Control Day", which is a day to call on everyone to understand obesity and manage weight scientifically. As early as 1997, the World Health Organization defined obesity as a chronic metabolic disease. Those who are overweight and obese, they are simply in a health crisis and should not be discriminated against. "Overweight" and "weight loss" are undoubtedly very hard, and I hope that these "specific people" can be healthier, more confident, and more friendly to the environment they live in. The following is from their story -

Text | Liang Song

Edit | Golden stone

When a person starts to be overweight

What can happen to a person when they start to become overweight? They shared a lot of specific feelings – such as being able to feel their double chin when they slept; The jeans that are often worn have holes in the inner thighs; Every day I was tired and had no energy. Because the organs of the body bear too much burden, diseases also follow. We also found that many young people in their twenties and thirties are not aware of the health risks associated with overweight and obesity, and many of them do not realize until they go to the hospital that they will get sick if they are too fat, no matter how young they are.

@阿尚 45 years old

Moderate fatty liver, knee pain, snoring, back pain. The specific feeling is to sit in a chair and never find the right position.

@滴滴 25 y.o. female

80 pounds in elementary school and 140 pounds in junior high school, and was ridiculed as a "succulent" when he was a student. When climbing stairs and going uphill, you really have to carry your breath, and the high blood pressure that follows you like a shadow seems to never escape.

@狗哥 28 y.o. male

After lying down and sleeping every day, I woke up and stood up, my feet were not able to support me at all, and I had to rely on climbing. When there are fat marks on the stomach, the professional knowledge tells me that the skin fibers are about to break, not an aesthetic problem.

@栗柯基 30 years old

I'm 190 pounds now. I can clearly feel the pressure on my joints at this weight, I used to practice taekwondo, I practiced sanda, and now I am out of breath when I climb a staircase. I also have a herniated disc and fatty liver. The lumbar protrusion was not severe for the first time, and you can go to work after a short break. The second lumbar protrusion was worse than death, the cause is still unclear, I was paralyzed in bed for three weeks, unable to move at all from the waist down, and it took ten minutes to get out of bed. When people reach middle age, such a weight is not healthy and very dangerous.

@a 19 years old female

Because of being overweight, sedentary, hot weather, almost college entrance examination sacrococcygeal infection in the hospital for two weeks, kneeling on the ground every day to write papers, every day when I open my eyes and see the ceiling of the hospital is very collapsed, I feel that the sky is falling, I lie on the bed after half anesthesia after surgery, I can't move my legs, and I hate my obesity so much for the first time.

@被重置 32 y.o. female

Six years ago, I was hospitalized because of high blood pressure, and the doctors were shocked, such a young girl would have high blood pressure, so I adjusted my work and diet to lose weight. That's when I really realized that if you were too fat, you would get sick, and if you were too sick, you would die. Hospitalized for a week, during my grandfather's birthday, I still asked the doctor for leave and wrote a letter of guarantee before going out to have a meal with the elderly.

@小yeah 26 y.o. male

Before I lost weight successfully, the problem of three highs never disappeared, every time my family took me to have a physical examination, they were terrified to look at my physical examination form, and when I was in my first or second year of junior high school, I once went to do B ultrasound, because the fat was too thick, the machine could not see my liver at all......

@Junqi 27 y.o. male

Five years ago, one day, my foot was so swollen that I couldn't get out of bed. At that time, I was still in college, and when I got to bed and off the table, I woke up and found that my feet could not move. After going to the hospital to take a film, the doctor said that there were no sprains and fractures, so how could they not walk? He seemed to have a flash of inspiration, and asked me to check for uric acid with an expression of "it can't be this", and the measured value was twice the maximum normal value. The doctor was very surprised and said to me, "I never thought that a 22-year-old student would have a gout attack."

I was sad, I didn't expect the problems of obesity to arise at such a young age. Later, I was diagnosed with high blood pressure and fatty liver during a physical examination, and suddenly had a herniated disc in my waist after more than a year of work.

@桐桐 22 y.o. female

Insulin resistance, fatty liver, hypothyroidism. Hypothyroidism manifests as cold intolerance. In the past, I have always been famous for carrying the cold, not in the same season as other people, but in March, when I suddenly went out, I felt so cold, gloves, down jackets, masks, and hats. One day I went to the express station to pick up the express, and the boss said that it was so hot today and I still had a hat, I was surprised, saying that I felt cold.

@玲娜小姐 32 y.o. female

A few years ago, I just got married and didn't want children, I ate and played, I wanted to have a child since last year but I couldn't conceive until this month, and it was found out that it was because I was obese and endocrine disorders, which led to polycystic tendency, resulting in oligoovulation, so I couldn't conceive a child, and I was really weak at that moment.

Photo source movie "Hot and Hot"

Start losing weight, they are all brave people

Ordinary people lose weight is not cool, and experiencing regain and failure is the majority and the norm. Everyone who has lost or is losing weight has paid unimaginable hardships. In this submission, some people have tried almost all the ways to lose weight on the market, and some people have even thought about cutting their stomachs, never underestimate a person's determination to lose weight. No matter what your current weight is and what your weight loss results are, those who can recognize the dangers of obesity and work hard to start losing weight are brave people.

@SR 38 y.o. female

It begins to lose from adolescence, and the more it decreases, the more afraid it becomes. I have tried all the methods on the market, dieting, acupuncture, electric, ketosis, fitness, weight loss summer camps, etc.

@Michelle 31 y.o. female

once lost to 180 pounds, regained weight to 220 pounds, and then reduced to 200 pounds, and after three years of the epidemic, it was 264 pounds. This month, I went to check all aspects of my body and turned on a red light, and now I have started a new round of weight loss.

@栗柯基 30 years old

When I was in college, I tried a lifeless weight loss, which was a simple hunger strike. As it turned out, this did not work out well. I was dizzy from hunger and had a very short temper, especially when I was rushing to do my homework at the end of the semester, which was very painful. At that time, I lost weight from 150 pounds to 135 pounds, which was the thinnest time in my life, but because I started to take the graduate school entrance examination, my weight rose back, and I liked to eat high-oil and high-salt foods very much during high-pressure study, which caused me to gain 170 pounds at one point. So, no matter how much you lose weight, don't go on a diet, don't spoil your body, and eat well.

@槿 24 y.o. female

Defeat after defeat, defeat after defeat. I'm so proficient in weight loss that I know how many calories it is in 100g at a glance at the food on the market, and the accuracy is in the tens of digits. I knew that I was overweight since elementary school, tried to lose weight, lost the first ten pounds of my life in high school, exercised and restrained myself from dieting in college for half a year, and my lowest BMI came to 24.7 kg/m2, which was the closest I was to normal. But I always get fat back again and again, maybe because of the so-called "weight anchor" or maybe because food is the only way for me to take in a sense of security, and there is no substitute.

@等路人喂的猫 30 years old

Since August 1st, I have changed all my eating habits, the oil for stir-frying vegetables at home has been replaced with avocado spray, and I no longer eat porridge in the canteen of the unit in the morning, and have changed to a sandwich with whole wheat toast with low-fat chicken breast slices and yogurt, and I don't eat in the canteen at noon, but I have changed to bring my own food. I used to be a person who didn't like to drink water very much, but now I drink it every day, and I have got rid of the bad habit of staying up late, and now I have been lying down at eight o'clock in the morning haha.

@Michelle 31 y.o. female

As soon as I finished walking the elliptical, at the five-minute mark, I started to think about the end, and then I finished the walk for half an hour in various ways. Although this amount of exercise is just a warm-up exercise for many people, I am still very proud of myself and persevered in every moment after retreating.

@Zach 37 y.o. female

What really motivated me to start fighting these daily routines was the health issues, and the menstrual cycle finally went from 35 days, 37 days, to a month off. The determination to guard the hormonal balance finally led me out of the house and into the gynecological endocrine disorder clinic. Before I even started talking, the doctor asserted: insulin resistance. After simply taking medicine, it is common exercise and meals.

I don't believe in any "diet method", I listed more than 20 favorite meat, vegetables and eggs, marked their 100 grams of calories, and remembered their volume and appearance of 100 grams. Now my eyes are accurate heat scales.

I was determined to defend my willpower and joy as much as I did to hormone balance. As soon as you put on your tracksuit, draw yourself a star on the calendar, and draw another one whenever you move. As soon as the heart rate watch shows that the heart rate is up to standard, I sit down and gasp, and the number is below 110 and start again. Weigh yourself, measure body fat, record arm circumference and leg circumference, and give yourself as many surprises as possible to see the numbers change.

Eventually, I became the one who happily went for a run and ironed whenever I had time.

Photo source movie "Thin Men and Women"

Obesity squeezes not only the body, but also the mind

Being overweight not only causes a burden and strain on a person's body, but also affects mental health. Many people have low self-esteem, self-loathing, and a strong sense of guilt for eating. Feeling inferior, feeling "greasy". The process of knowing yourself, accepting yourself, and allowing yourself to struggle to lose weight is full of tears and sweat.

@姚老师 45 y.o. female

Ate fried dough sticks and blamed myself very much.

@陈陈 32 y.o. female

I took a sip of Jiuzhen juice and cried guiltily.

@豆豆 34 y.o. female

The biggest health problem for me is mental health, low self-esteem, sensitivity, and easy to get angry...... I hate myself at that time, I have a sense of powerlessness in life, and I want to change very much but I can't implement it because of my laziness, so I hate myself even more.

@念念 27 y.o. female

When I was the fattest, I was 180 pounds and 24 years old. Severe endocrine disorder, no menstruation for half a year, and black acanthosis will grow on the neck. Depression leads to binge eating, which in turn leads to guilt and shame. Emotionally and physically out of balance, I feel unworthy when I see the sun.

@慕葭 29 y.o. female

As an "urban subordinate" who was born on 5.11 and has just lost nearly 15kg of weight Hashimoto's hypothyroidism + polycystic + fatty liver + prediabetes + insulin resistance Buff, I really have mixed feelings when I see this solicitation. Thinking about last year is like a dream, my aunt didn't leave for three months, because of poor coagulation function, left and right nostrils bleed in turn, exhausted every day, the whole person was horribly swollen, I didn't want to go out on my day off, I just wanted to lie down, I couldn't control my temper, I lived in negative emotions every day, I felt really tired to live, and sometimes I even thought about it.

@舀子 20 years old male

I feel very tired every day because I am overweight. The aminotransferases are too high, and the liver is infiltrated with fat. I feel vaguely pain in my upper left abdomen, but the most uncomfortable feeling is that I am no longer confident, I no longer like to talk and laugh, especially when I go home for the Chinese New Year, I will be judged.

@锅锅 31 y.o. female

After I weighed 90 kilograms, my basic menstruation was once a year, I had fatty liver, insulin resistance, acanthosis nigricans and herniated discs, and I could not stand or walk for a long time, and I would be very tired. It may be due to irregular menstruation and hormone secretion problems, not only physically, but also psychologically more anxious than the average person. The body and mind never felt relaxed.

@霜降 22 y.o. male

On the night of a dormitory classmate's birthday, he suddenly found out that it was also his birthday, and he cried and ate a small bread, very aggrieved and guilty for not loving himself well.

@蒋欢 24 y.o. female

The third time I lost weight to 140 pounds, and I weighed it in the morning and took a photo of my mother. At that time, I had been at home in Xinjiang for 3 months, and I called my mother and cried, and I said that my mother thought I would never lose weight again.

@G 31 y.o. male

In these years, in the face of weight, every time I have such a most unforgettable mood - at the beginning, I regarded weight as a lifelong enemy, and I never died; As the practice progressed, from being defeated to getting used to it, I could eventually see victory; In the end, there was a phased result, and I shook hands and made peace as a victorious country, waiting for the next invasion and corruption of the weight. The cycle repeats itself, and it goes on endlessly.

@嘟邦尼 30 years old

Every time I feel emotionally revolted and I'm not in the right state, I eat a lot of food, not to the point of overeating, but every time I feel like I'm going crazy, and I want to tell myself, "It's just food not love."

Photo source: The movie "The Big Hunger"

A specific person

Yan Rujing is a debater, a food blogger, and an overweight to obese person (she weighs more than 200 pounds). At the beginning of this year, Yan Rujing had been sick for more than 3 months, and after seeking medical treatment many times, she realized that obesity is not only a problem of appearance, but also a serious health problem that endangers her health.

In early April, she announced that she would spend a year losing half of herself and her weight from more than 200 pounds to 100 pounds. We record the story of Yan Rujing, and want to fully present the mental journey of an obese person, why did she make the decision to lose weight? Here's her answer-

I have been fat since I was a child, in the third or fourth grade of primary school, I am very interested in food, my weight "popped" suddenly rose to 100 pounds, and then it has been growing steadily and continuously, fat to now, my lowest weight after adulthood should be 150 pounds, more than 200 pounds at the beginning of this year.

The most intuitive physical troubles caused me by being overweight are knee pain, herniated discs, and a lot of obesity lines, and my legs are easy to grind against me, which I have always had. As I got older, my physical examination results became very unhealthy, including high risk of blood lipids and heart blood vessels.

I also don't sleep well, snoring and panting, because the first thing that fat affects the respiratory tract, plus people are tired, it will become difficult to concentrate, and there will be an inexplicable feeling of fatigue. In fact, the blood sugar is too high, because the weight base is relatively large, his blood sugar is high and low, as soon as the blood sugar soars, the whole person will be sleepy, I have some fat friends, when it is serious, sitting in a meeting suddenly sleepy, began to snore, he himself can not control it.

When I weighed 150 pounds, I felt that I was just a slightly fat person, and my sports performance was actually okay at that time, and I would be a little bulky, but the overall fat feeling was not very big, fat but not greasy. This year is the first time in my 30 years that I really weigh 200 pounds, I can clearly feel that I am very "oily", the greasy feeling is very heavy, the stomach is very big, ordinary people stand up and bow their heads, you can directly see your toes, but when you are 200 pounds, you can't see it.

What's even more terrifying is that my body can't bear this weight at all. In the past, because of obesity, every time I went to the hospital to see a doctor, the doctor would definitely say "I want to lose weight". But this year, when I wasn't exercising, I wasn't doing anything drastic, and all of a sudden, my waist protruded, and I just squatted down and put my clothes in the washing machine and couldn't stand up, which was a scary thing. At that time, I went to the doctor for the first time, and the doctor's judgment was that because the weight was overweight, the body could no longer bear my weight, so this reaction occurred, and then said, I must lose weight, and there is no way to treat the lumbar protrusion if I don't lose weight.

The other thing is that since the beginning of the Chinese New Year, I have been having continuous infections, bacterial infections, viral infections, endlessly, and nothing can get better. In the first three months of 2024, I basically went to the hospital every month, and I didn't say which disease it was, but the entire immunity and health level were going down.

Source: Yan Rujing Weibo

During that time, I could feel the weakening of my physical function, it was time to lose weight, and I couldn't go on like this, I began to think very seriously about getting rid of the problem of obesity, and the professional doctor also told me that I must lose weight, otherwise my body will not get better.

In the past few months, I have also been doing psychological construction, because my goal for myself is that this time to lose weight, it is no longer a phased weight loss, I have done a phased weight loss hundreds of times, just to lose 5 kilograms, 10 kilograms for some goals, or to try some popular weight loss methods. But this time, I hope it will be long-term, and I hope that in the future I will be a healthy person of 55 kilograms.

I announced on the Internet that I was going to lose weight, and from the beginning of April to now, I began to actively adjust my lifestyle, insist on cooking by myself, eating healthily, strengthening exercise, basically getting up at 6:30 every day, and doing aerobic and functional training as planned.

Although I have only lost weight for a little over a month, my lifestyle is noticeably healthier now. I used to live a lifestyle of indulgence, drinking beer, eating every day, and wishing I had a supermarket at home, but I knew that life was not sustainable, and I was constantly worried that I would die suddenly. Although my current life is very tiring, I have a very down-to-earth feeling, and it is a kind of self-discipline and happiness.

I know that there is still a long way to go to lose weight, and although I will not be unhappy because of losing weight now, I will still have a little anxiety, and I will worry that the weight figure will not drop tomorrow. Every day, I wonder if I have eaten too much meat today? Or is it that carbs are not up to standard today? Before I lost weight, I was anxious that I was not healthy, but when I lost weight, I was still anxious, and I was anxious about the effect of my weight loss.

In the first month of weight loss, I gave myself a score of 80, which is still 4 pounds short of the weight loss goal I set. During this period, I had a fever for 3 days, my hands and neck were injured, because of the soreness of exercise and the weight of 200 pounds of my body, there will still be a little burden to recover my physical strength, and my whole body hurts when I sleep at night, and I have to go to a relaxing massage at least twice a week. I'm also worried that it will be stuck in the plateau period in the future, some people will be stuck for a day, and some people will be stuck for a year, will it collapse later? That's what worries me as well.

But I'm ready to do it. Maybe you don't know, I've always been a very athletic person, many people may see that I'm fat, and think that I'm lazy and don't move, so that's it, in fact, I have been exercising for more than an hour every day for many years, but in the past few years, I have been doing food broadcasting and selling goods, this is my job, so I have gained dozens of pounds.

My ideal weight is 110 pounds, but the last time I weighed so little was in elementary school. I'm also looking forward to what Yan Rujing will look like in a year's time. I want to challenge, in addition to the cute version of Yan Rujing, what other form of Yan Rujing can I do? I barely wore a skirt, I didn't even dare to buy a full-length mirror at home, I went to Hainan many times, I barely took a single photo, I didn't dare to be a bridesmaid when my good friend had a wedding, and I didn't even wear any pair of yoga pants when I exercised every day to see people wearing yoga pants. I hope that one day, I will be able to try all of this healthily and without any scruples.

Source: Yan Rujing Weibo

Fellow travelers, I want to say to you

Being overweight or even obese is a serious health issue, and it is also an issue that needs to be looked at with a more benevolent eye, and I hope that everyone can find support, encouragement and strength in these words to build a healthier and kinder world together. A reminder: it's really important to see a doctor, "don't care what other people think and what they recommend (except for the doctor)".

@Michelle 31 y.o. female

During this visit, the doctor said that every time I ate, my pancreatic islets worked hard to produce insulin. I was immediately touched that when I didn't love myself and didn't care about my health, my pancreatic islets, my heart, my knees, and my various organs were still working desperately for me. People are always expecting others to save themselves and love themselves. In fact, my body supported me unconditionally all the time, until the moment she was exhausted. I don't want to let down my organs this time, and I want to prove that I am worthy of their so loyal master.

@王太白 32 y.o. female

Maintaining a healthy weight, proper physical exercise, is a lifelong homework, weight loss is a matter of life, there is no need to try to simplify your diet, go out to eat and taste the taste, don't eat and drink, the body has been protecting you, you have to do something for it!

@不愿透露姓名的momo女士 27 y.o. female

I should be a relatively rare overweight person with a large base, and a not-so-admirable negative teaching material for opportunistic success in losing weight, but I still want to advise people like me to have a large base if the physical condition is too much for you to bear, then don't care what others think and advise (except for doctors).

Everyone around me advised me to keep my mouth shut and open my legs, but they couldn't understand the pressure in my heart, they didn't know what was in my body that I was ashamed to talk about, and I would never tell my friends that every time I went out to dinner with them, even if it was just a little farther away and stood on the subway for half an hour, my ankles would hurt so much that I couldn't get out of bed, let alone exercise.

At this time, the only thing you can listen to is the doctor, go to a big hospital to hang up a bariatric department, tell the doctor all your physical and psychological problems, and he will give you the best advice.

@G 31 y.o. male

I am a bipolar patient, from 2019 to the present, every day with a handful of medicine in the morning and a medicine in the evening, I try to control my weight, because my supervisors, colleagues, classmates, friends, even if they know the condition, will give advice, advice or criticism to my lack of self-discipline.

At first, I pinned my hopes on explanations, and then from time to time I posted photos of myself when I was thinnest in my circle of friends, and after that, it was like a callus, numb and heavy. Nowadays, I also stick to some light exercises, such as aerobic boxing on the switch, or swimming at a low frequency. The weight I have lost over the years adds up to almost the size of an adult male, and now, I am still a fat man, numb and heavy.

I don't have any advice, advice or criticism to give to everyone who wants to lose weight, I just think about when a person, an independent individual, can no longer be ashamed of being fat, can no longer be ashamed of being a mental illness, can no longer be ashamed of the unavoidable label, maybe this is the feeling I want to share most after losing weight for so many years.

@豆子 23 y.o. female

Sometimes it's not that we don't want to lose it, it's that there are all kinds of things that I can't lose, and the effects of drugs and slow metabolism are really fatal injuries. Friends who see this, I hope you don't make fun of and secretly discuss those who are overweight, they may also have their own problems, not simply "lazy".

@小胖 32 y.o. male

When I lost 45 pounds, I gave myself a tattoo as a reward and record, it is a villain sleeping in a shell, the implication is that our fat is a soft barrier that the body is forced to evolve to protect itself after experiencing all the pressure of social emotions, but weight loss and exercise are I am recasting the fat sweat into a stronger and more beautiful shell little by little, I hope everyone can have such a strong and beautiful shell.

Photo source movie "100 Yuan Love"

In the end, this is a doctor's recommendation

In order to let you have a more scientific understanding of "overweight", "obesity" and "weight loss", we decided to attach the answers of professional doctors.

1. What kind of person is considered "obese"?

The criteria set by the WHO (World Health Organization) are that a BMI (body mass index) of 25.0 kg/m2 and above is considered overweight, and a BMI of 30.0 kg/m2 or more is considered obese. Because Asians are not the same body size as Europeans, our country's diagnostic criteria are that a BMI between 24.0 kg/m2 and 27.9 kg/m2 is defined as overweight, and more than 28.0 kg/m2 is considered obese.

But clinically, we still need more dimensions of judgment. For example, if someone comes to see a doctor, the first thing I will do is whether I am fat or not, BMI is one thing, but also look at the person's waist circumference, if the waist circumference of men is more than 90cm, and women are more than 85cm, it is also metabolic obesity of normal weight. In addition, there are many other indications, such as some people have metabolic disorders, obesity-related fatty liver, diabetes, liver function abnormalities, etc., which are actually manifestations of obesity.

2. Do obese people need medical treatment and treatment?

As early as 1997, the American Academy of Clinical Endocrinologists (AACE)/American Endocrine Society (ACE) proposed that obesity is a complex chronic disease, and the goal of treatment should be to control obesity and its complications. Because obesity can bring many metabolic abnormalities, such as diabetes, fatty liver, high blood pressure, hyperlipidemia, as well as mental and psychological problems, and even multiple organ dysfunctions, it also has an impact on the growth and development of children and adolescents, and adult fertility.

According to our conservative statistics, there are more than 100 million obese people in China. There are a lot of obese patients in Hebei, Northeast China, and Inner Mongolia, and many people actually don't go to the hospital to see a doctor, because these people don't realize that they have to lose weight, and they don't realize that TA is actually an obese patient, so in fact, the concept of obesity medical treatment or medical intervention in China has not been paid much attention to so far.

In particular, I would like to remind you that if you meet the following conditions, it is recommended to seek medical attention as soon as possible:

First, rapid weight gain. During the epidemic, I did encounter many such patients, who had no problem with their weight, but increased by 10 kilograms or 20 kilograms a year, and they still couldn't lose it, so it may be an endocrine problem.

Second, weight gain continues to increase, and it increases every year, which should also be taken seriously.

Thirdly, the belly is getting bigger. In fact, we doctors are very afraid of this kind of obesity with a "bigger and bigger belly", which may have thinner arms and legs, but the belly is getting bigger and bigger, which is prone to metabolic problems, such as fatty liver, and possibly abnormal liver function. In addition, the heart also begins to be burdened, snoring when sleeping, and suddenly stopping playing, which is called sleep apnea syndrome. There are also people who have joint problems when walking because of their large stomachs.

Fourth, hereditary obesity. Since childhood, I have been fat, and my parents are also fat, so we should seek medical attention in time, manage and control it as soon as possible, and never wait until you have diabetes because of obesity before coming to the hospital.

Fifth, metabolic abnormalities. For example, metabolic obesity with normal weight, although the BMI is in the normal range, the body already has metabolic abnormalities, which is "hidden" obesity.

3. What is the current treatment of obesity?

There are often "new tricks" in obesity treatment, such as ketogenic diet, low-calorie diet, 16+8 diet, etc., but I think that in fact, there is really no trick in the treatment of obesity, there is no new trick, and various methods must be used for individualized treatment, mainly to intervene for the cause of the disease, plus other methods that can play an auxiliary role, such as "keeping your mouth shut and opening your legs".

For example, we have to find a way to make someone who doesn't want to eat because they don't have enough to eat, and that's the main treatment. For patients who never exercise, try to make him more active, but let him exercise happily, not forced. For people who don't have enough hormones, supplementing with good hormones will naturally lead to weight loss.

Therefore, you must go to the hospital for evaluation, and then design the treatment plan after a series of examinations, the general treatment will take 3-6 months, not to lose 20 pounds a month, it is terrible to lose 20 pounds a month, because after three months, you may grow back to 30 pounds.    

Dr. Qu Shen who communicates with patients

4. In terms of gender, what is the difference between men and women about obesity?

What we are facing on the front line is that many people who should lose weight do not come to the hospital, and they are very positive when they should not come to the hospital. In fact, there are more men than women in obese people, but now there are more women than men in outpatient clinics. I have to send a lot of people who shouldn't lose weight every day - for example, women who love beauty, young girls are not obese and want to lose weight, menopausal women start to gain weight as they get older, and it is more difficult to get back to the weight of 18 years old.

5. As a professional doctor, how do you manage your weight yourself? What advice do you have for daily weight management?

Management is important in daily life. Take myself as an example, I pay attention to monitoring my weight, and I weigh myself almost every day, just like eating. For example, if I recently went on a trip and came back fat after eating and drinking, I would ride a bicycle or walk more, and I now drive once a week just to increase my walking time and exercise time.

Eat a balanced diet and pay attention to nutrition. Eat less processed foods, drink less processed compounded carbonated beverages, and lower salt. The problem of salt intake needs everyone's attention, because now the incidence of hypertension is high, we used to talk about the healthy diet pyramid, now we pay attention to a balanced diet, grains, vegetables, fruits, meat, eggs and milk, which is very important. 

Then there's sustainability. Some people in order to lose weight limited time diet, do not eat at night, this is actually not possible for ordinary people, do a month, two months, do half a year is very difficult, not to mention do a lifetime, long-term persistence is actually very difficult, so weight management or choose their own relatively adaptable lifestyle, can be daily and sustainable, the best is to be able to stick to a lifetime, so that for their own body, their own health is the most effective, but also the most responsible.

Finally, if you have reached the standard of obesity, I still hope that you should go to the hospital, seek professional help, and lose weight scientifically and reasonably under the guidance of a doctor.

Those who can scientifically understand obesity and manage their weight and risk factors for complications are brave. It's a long-term management process, and I hope everyone can stick around and have a healthier body.

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